GREGORY TIMBERLAKE MD – NPI #1730260613
Surgery

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

GREGORY TIMBERLAKE is a surgeon located in JACKSON, MS. NPPES has assigned the NPI number 1730260613 to GREGORY TIMBERLAKE on October 18, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0102X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Critical Care

The NPI profile was previously updated about 12 years ago on Dec 16, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREGORY TIMBERLAKE below.

NPI Profile for
GREGORY TIMBERLAKE

NPI Number
1730260613
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GREGORY TIMBERLAKE
Credentials
MD
Primary location
2500 N STATE ST
JACKSON, MS 39216-4500
Phone: (601) 984-1000 Fax: (601) 815-4570
Mailing address
PO BOX 3287
JACKSON, MS 39207-3287
Phone: (601) 984-1000 Fax: (601) 815-4570
Sole Proprietor
No
Updated
Identifiers

Identifiers for GREGORY TIMBERLAKE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICAREMSP01233200
MEDICAIDMS00123637
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0102X
- Surgery / Surgical Critical Care (Primary)
MS 17108
208600000X
- Surgery
MS 17108

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.